Information Collection

Campus Climate Survey Validation Study Pilot Test Instrument

IC 215656 under ICR 201503-1121-003 · OMB 1121-0339.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0339 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Campus Climate Survey Validation Study Pilot Test Instrument	Form and Instruction
Campus Experiences Survey E_CES survey REVISED 3-20-15.pdf	Form and Instruction
Approval Notice.13633.Pretest.1-12-15.pdf IRB Approval for Pre-test	IC Document
Approval Notice.13633.Amend.2-25-15.pdf IRB Approval Amended	IC Document
Final CCSVS OMB clearance pilot 032015 with OMB revisions.docx Memo to OMB: CCSVS rev	IC Document
Revised CES Appendix 032015.pdf attachments	IC Document

IC Title:

Campus Climate Survey Validation Study Pilot Test Instrument

Agency IC Tracking Number:

BJS

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Campus Experiences Survey	E_CES survey REVISED 3-20-15.pdf		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 23,538

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	23,538	23,538
Annual IC Time Burden (Hours)	7,768	7,768
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IRB Approval for Pre-test	Approval Notice.13633.Pretest.1-12-15.pdf	03/12/2015
IRB Approval Amended	Approval Notice.13633.Amend.2-25-15.pdf	03/12/2015
Memo to OMB: CCSVS rev	Final CCSVS OMB clearance pilot 032015 with OMB revisions.docx	03/26/2015
attachments	Revised CES Appendix 032015.pdf	03/26/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.